Organization Active NPI

Jeffrey S. Toler, D.D.S., Millerville Dental Group, a Professional Cor

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1871006908
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEFFREY S. TOLER, D.D.S., MILLERVILLE DENTAL GROUP, A PROFESSIONAL COR
Practice address
2121 Millerville Rd Ste a
Baton Rouge, LA 70816-1401
Phone
(469) 788-7412
Fax
(225) 960-4407
NPI assigned
Nov 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Toler
Title
Owner
Phone
(469) 788-7412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2121 Millerville Rd Ste a
Baton Rouge, LA 70816-1401

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • Millerville Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2121 Millerville Rd
Ste A
Baton Rouge, LA 70816
Phone (225) 960-4407

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871006908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MILLERVILLE RD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161401",
            "telephone_number": "469-788-7412",
            "fax_number": "225-960-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. TOLER, D.D.S., MILLERVILLE DENTAL GROUP, A PROFESSIONAL COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-11",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TOLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-788-7412"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millerville Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millerville Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.